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Keys to a successful and sustainable telemedicine program

Published online by Cambridge University Press:  15 April 2010

Pamela Whitten ,
Bree Holtz  and
Lianh Nguyen
Pamela Whitten
Affiliation:
Michigan State University
Bree Holtz
Affiliation:
Michigan State University
Lianh Nguyen
Affiliation:
Michigan State University
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Abstract

Objectives: The aim of this study was to determine organizational characteristics evident in successful telemedicine programs. The study proposed four research questions to identify the key organizational characteristics for successful telemedicine programs.

Methods: Data were collected through an online survey using modified unified theory of acceptance and use of technology (UTAUT) and organizational change readiness (ORC) validated assessments.

Results: Using the UTAUT instrument and the ORC assessment, themes of successful telemedicine programs emerged. Overarching themes of successful programs included being formally structured, forward thinking, seeking to improve the quality of patient care, and being financially stable.

Conclusions: This research provides a data-driven understanding of organizational issues that serve to maximize a telemedicine program's ability to achieve the overall goals and mission of a healthcare organization.

Keywords

TelemedicineOrganizational success
Type
METHODS
Information
International Journal of Technology Assessment in Health Care , Volume 26 , Issue 2 , April 2010 , pp. 211 - 216
Copyright
Copyright © Cambridge University Press 2010

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References

REFERENCES

1. Bensink, M, Hailey, D, Wootton, R. A systematic review of successes and failures in home telemedicine: Preliminary results. J Telemed Telecare. 2006;12:8–16.CrossRefGoogle Scholar
2. Brown, N. State Medicaid and private payer reimbursement for telemedicine. An overview. J Telemed Telecare. 2006;12:32–39.CrossRefGoogle ScholarPubMed
3. Gustke, S, Balch, D, West, V, Rogers, L. Patient satisfaction with telemedicine. Telemed J. 2000;6:5–13.CrossRefGoogle Scholar
4. Hailey, D, Ohinmaa, A, Roine, R. Study quality and evidence of benefit in recent assessments of telemedicine. J Telemed Telecare. 2004;10:318–324.CrossRefGoogle ScholarPubMed
5. Hardy, CB. Understanding organizations. London: Penguin Publishers; 1993.Google Scholar
6. Hersh, WR, Hickam, DH, Severance, SM, et al. Telemedicine for the Medicare population: Update (Evidence Report/Technology Assessment No. 131). Rockville, MD: Agency for Healthcare Research and Quality; 2006.Google ScholarPubMed
7. HRSA. HRSA telemedicine. http://www.hrsa.gov/telemedicine/ (accessed April, 2009).Google Scholar
8. Jennett, P. Affleck Hall, L, Hailey, D, et al. The socio-economic impact of telemedicine: A system review. J Telemed Telecare. 2003;9:311–320.CrossRefGoogle Scholar
9. Lehman, WE, Greener, JM, Simpson, DD. Assessing organizational readiness for change. J Subst Abuse Treat. 2002;22:197–209.CrossRefGoogle ScholarPubMed
10. Mair, F, Whitten, P. Systematic review of studies of patient satisfaction with telemedicine. Br Med J. 2000;320:1517–1520.CrossRefGoogle ScholarPubMed
11. Rizzo, JR, House, RJ, Lirtzman, SI. Role conflict and ambiguity in complex organizations. Adm Sci Q. 1970;15:150–163.CrossRefGoogle Scholar
12. Shore, J, Brooks, E, Savin, D, Manson, S, Libby, A. An economic evaluation of telemedicine data collection with rural populations. Psychiatr Serv. 2007;58:830–835.CrossRefGoogle Scholar
13. Ventatesh, V, Morris, M, Davis, G, Davis, F. User acceptance of information technology: Toward a unified view. MISQ. 2003;27:425–478.CrossRefGoogle Scholar
14. Weatherburn, G, Dowie, R, Hema, H, Young, T. An assessment of parental satisfaction with mode of delivery of specialist advice for paediatric cardiology: Face-to-face versus videoconference. J Telemed Telecare. 2006;12:57–59.CrossRefGoogle ScholarPubMed
15. Whitten, P, Buis, L. Use of telemedicine for haemodialysis: Perceptions and health-care providers, and clinical effects. J Telemed Telecare. 2008;14:75–78.CrossRefGoogle ScholarPubMed
16. Whitten, P, Doolittle, G, Mackert, M. Providers’ acceptance of telehospice. J Palliat Med. 2005;8:730–735.CrossRefGoogle ScholarPubMed
17. Whitten, P, Holtz, B. (2008). A series of papers for those yearning to propel telemedicine to new heights. Telemed J E Health. 2008;14:952–956.CrossRefGoogle ScholarPubMed
18. Whitten, P, Mair, F, Haycox, A, et al. Systematic review of cost-effectiveness studies of telemedicine interventions: Economic Benefits of new technology are assumed, rather than known. Br Med J. 2002;16:60–66.Google Scholar
19. Whitten, P, Mylod, D, Gavran, G, Sypher, H. “Most wired hospitals” rate patient satisfaction: Considering the roles of it as a variable in health care institution quality assessment. Commun ACM. 2008;51:96–102.CrossRefGoogle Scholar